WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| X-ray scapula complete (both sides) CPT 73010 | $336.00 | $420.00 | $20.63 – $602.31 | 24 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $177.60 | $222.00 | $18.14 – $497.84 | 24 |
| X-ray skull < 4 views CPT 70250 | $375.20 | $469.00 | $26.25 – $602.31 | 24 |
| X-ray spine single view CPT 72020 | $134.40 | $168.00 | $18.08 – $497.84 | 24 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $590.40 | $738.00 | $35.00 – $1,006.60 | 23 |
| X-ray thoracic spine 2 views CPT 72070 | $200.00 | $250.00 | $25.24 – $602.31 | 24 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $261.60 | $327.00 | $20.63 – $497.84 | 24 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $305.60 | $382.00 | $20.63 – $497.84 | 24 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $280.00 | $350.00 | $11.25 – $497.84 | 24 |
| X-ray wrist 2 views (both sides) CPT 73100 | $256.00 | $320.00 | $14.38 – $497.84 | 24 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $135.60 | $169.50 | $6.52 – $41.50 | 9 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $244.40 | $305.50 | $20.22 – $133.28 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.